KidsMania Registration
When: Wednesdays at 6:00-7:30 PM (Starting September, 2017)
Where: 42 Athabasca Ave, Devon AB
Contact us at (780) 987-3385 or kids@devonchurch.com

Information received is confidential and is being gathered for the purpose of serving your child while in the care of
Devon Community Church. Any medical information collected here serves to authorize Devon Community Church,
and its staff and volunteers, to obtain medical assistance in emergencies.
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Parent/Guardian Information
Name(s) *
Phone Number *
Alternate Phone Number
Address *
Email (We will use this to keep you up to date with monthly updates) *
Are there any Custody Concerns we should be aware of that will help us keep your child safe?
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